Dykstra, Michelle Lee

Dykstra, Michelle Lee is an individual health care provider with primary practice located at 610 Jefferson St , Oregon City OR 97045. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dykstra, Michelle Lee can be contacted via phone (503) 657-7235.

Contact Information

Primary practice address
610 Jefferson St Oregon City OR 97045
Phone: (503) 657-7235
Fax: (503) 657-7676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1412 Oregon

Profile Details

NPI number 1013072586
LBN Legal business name Dykstra, Michelle Lee
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013072586 NPPES
Other 279270 MHN HMC

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